First Notice of Loss (FNOL) Intake Form

Intake form for collision repair teams to capture first-contact claim details, insurer information, loss circumstances, point of impact, and drivability so a repair file can be opened quickly and accurately.

Claim and Contact Details

• Claim Number
  Enter the insurer's claim number if available.
• Insurer
  Name of the insurance company handling the claim.
• Customer Name
  Name of the person bringing the vehicle in or authorizing the repair.
• Customer Phone
  Best phone number to reach the customer about the repair.
• Customer Email
  Optional email address for status updates and documentation.

Loss Information

• Date of Loss
  Date the incident occurred.
• Time of Loss
  Approximate time the incident occurred, if known.
• Location of Loss
  General location where the incident occurred. Do not enter unnecessary personal details.
• Brief Loss Description
  Short summary of what happened, using only the details needed for repair intake.

Vehicle Damage Assessment

• Point of Impact
  Select all areas of the vehicle that were impacted.
• Is the Vehicle Drivable?
  Select whether the vehicle can be safely driven at first contact.
• Drivability Notes
  Explain any safety concerns, warning lights, leaks, or towing needs.
• Tow Required?
  Indicate whether towing is needed before repair.

Repair File Setup

• Repair Order Number
  Automatically assigned when the repair file is created.
• Preferred Contact Method
  How the customer prefers to receive updates.
• Additional Notes
  Use for any other information needed by the advisor to open the file.